Individual provider Active NPI

Joanne Lynn Nelson, PHD, LCSW

  • Clinical Social Worker
  • Oviedo, FL
National Provider Identifier
1730130600
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW5535 Issued in FL
Practice address
2461 W State Road 426
Suite 2055
Oviedo, FL 32765-4508
Phone
(407) 359-1181
Fax
(407) 359-1931
NPI assigned
May 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW5535 FL Primary

Addresses

Primary practice location

2461 W State Road 426
Suite 2055
Oviedo, FL 32765-4508

Mailing address

2461 W State Road 426
Suite 2055
Oviedo, FL 32765-4508
Phone (407) 359-1181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
SW5535FLMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1730130600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2461 W STATE ROAD 426",
            "address_2": "SUITE 2055",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327654508",
            "telephone_number": "407-359-1181",
            "fax_number": "407-359-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2461 W STATE ROAD 426",
            "address_2": "SUITE 2055",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327654508",
            "telephone_number": "407-359-1181",
            "fax_number": "407-359-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JOANNE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW5535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.